JAMALPUR DOCTOR HOSPITAL & DIAGNOSTIC CENTER
Advanced Diagnostic & Pathology Services
Modhupur Road, Jamalpur | Mobile: 01314868020
Money Receipt
| Patient Name: | Bahadur |
| Age / Gender: | 55 Yrs / Male |
| Mobile: | 01931520104 |
| Address: | N/A |
| Invoice No: | LAB-2026-0354 |
| Billing Date: | 22-08-2026 12:02 PM |
| Patient Type: | Outdoor |
Ref. Doctor:
Dr.Shamim Reza MBBS,BCS,D-ortho FCPS
Ref. Patient:
N/A
| SL | Test Name | Price (BDT) |
|---|---|---|
| 1 | CBC | 500.00 |
| 2 | Random Blood Sugar | 150.00 |
| 3 | Hbs Ag | 500.00 |
| 4 | Blood Group &Rh Factor | 100.00 |
| 5 | S.Creatinine | 500.00 |
| 6 | X-Ray Chest P/A View | 700.00 |
| 7 | ECG (12+ ch / 6 ch / 3 ch) | 500.00 |
| 8 | Collection Set | 25.00 |
| 9 | Edta Tube | 30.00 |
| 10 | Red Tube | 25.00 |
| 11 | Admission Fee | 200.00 |
| Subtotal: | 3,230.00 BDT |
| Discount: | - 430.00 BDT |
| Grand Total: | 2,800.00 BDT |
| Money Received (Paid): | 0.00 BDT |
Patient / Guardian Signature
Authorized Signature